Science in Ohio Field Trip Permission Form

Dear Parent or Guardian,

On May 18, 2017, the Science in Ohio classes at Graham High School will be taking an educational field
trip to John Bryan State Park and Clifton Gorge. The field trip is designed to relate topics discussed in
class to real world examples found in the parks. Additionally, we will be hiking the trails in the park, and
will be stopping for ice cream at the end of the trip at Youngs Jersey Dairy Farm. Trails in the park can
be steep and slippery at times. Proper footwear and clothing are necessary. It is imperative that students
dress for the weather. We will be staying on designated trails only. NATURE PRESERVE AND STATE
PARK RULES AND REGULATIONS WILL BE STRICTLY ENFORCED.

Field Trip Information:

Date: Thursday, May 18, 2017

Location: John Bryan State Park, Yellow Springs, OH.

Clifton Gorge State Nature Preserve, Yellow Springs, OH
Youngs Jersey Dairy, Yellow Springs, OH

Purpose: Educational - Relate topics we have discussed in class throughout the year to real world
examples found in the parks.

Cost: Money for ice cream at Youngs Jersey Dairy

(**optional - If your child wishes to purchase ice cream- cash only for ice cream)

Means of Transportation: School bus

Leave school: 8:00 am Arrive back at school: 2:15 pm

Special Instructions: appropriate dress and footwear are required. NATURE PRESERVE AND STATE
PARK RULES AND REGULATIONS WILL BE STRICTLY ENFORCED.

Save this part of the form for future reference.

Cut here-------------------------------------------------------------------------------------------------------------------- Cut here

Sign this part of the form and return it to your child's teacher.

_____________________________________________________ has permission to attend a field trip to

(childs name)
Clifton Gorge State Nature Preserve /John Bryan State Park /Youngs Jersey Dairy on Thursday,
May 18, 2017 from 8:00 am to 2:15pm.

I give my permission for ________________________________________ to receive emergency medical

treatment. In an emergency, please contact:

Name: _________________________________________ Phone: ______________________________

Parent/Guardian Signature: ___________________________________ Date: _____________________